O1-5 Digital tools for physical activity assessment and brief counselling in Primary Health Care: The Portuguese model

Abstract Issue/problem Implementation of national systems for patients' physical activity (PA) assessment and counselling is a cost-effective strategy recommended in the WHO Global Action Plan for PA 2018-2030. Although Primary Health Care (PHC) professionals are recognized as key agents for PA promotion, challenges remain on how to develop feasible and scalable tools to support them in promoting patients' PA. The Portuguese model could help other countries improve PA assessment and brief counselling in PHC settings. This study aims to describe the tools' development and usage. Description of the problem The Portuguese Directorate-General of Health developed two evidence-based digital tools to support PA promotion by healthcare professionals: a) PA brief assessment tool; and b) brief counselling tool. The assessment tool was incorporated within the electronic medical health record software ?SClínico? in September 2017. It includes three questions: 1) how many days per week the patient performs any kind of PA (work, commuting or leisure-time); 2) how much time per day; and 3) how many hours per day the patient spends in sedentary behaviours. The PA brief counselling tool is available through the electronic medical prescription software ?PEM? since December 2017 and consists of five inter-related self-explanatory guides that can be delivered to patients (printed or by email), according to their motivation and PA levels. They facilitate person-centered and autonomy-supportive PA counselling, targeting specific behaviour change mediators, and using validated techniques. Results From September 2017 to December 2021, 159,179 patients had their PA assessed (2235 per 100,000 users of the National Health Service) and, from these, 16133 received PA brief counselling guides (177 per 100000 residents in Portugal, ≥ 15 years old), with a six-fold and three-fold increases, respectively, between 2018 and 2019 (previous to the COVID-19 pandemic). Future actions will address cost-effectiveness of this policy. Lessons The brief assessment and brief counselling tools were well-accepted and are increasingly being used, with potential for generalized adoption within the Portuguese Health Care System. Main messages Portugal has taken a decisive action to promote PA using PHC as a priority setting. PA tools usage is increasing considerably, highlighting the importance of making available easy-to-use PA promotion tools.


Background
The active commuting to school behaviour is an opportunity to increase the physical activity levels. The most frequent used tool to assess the mode of commuting to school is selfreporting by children or by their parents. However, there is a lack of information about the validity between both, children and parents. So, the purpose is to validate the questions of mode of commuting to go and come back from school of children according to their parents'. Method A total of 611 parents (mean age: 43.28AE6.25 years old) and their children (mean age: 11.44AE2.77 years old) from Granada (Spain) completed a family (mode of commuting of children reported by parents as part of the Family PACO questionnaire) and a student questionnaire validated (Chillon et al., 2017) (mode and frequency of commuting to and from school questionnaire), respectively, in two measurement points. The questions from the 'Family PACO questionnaire' are: ''How does your child usually go to school?'' and ''How does your child usually come back?''; and the questions from the 'mode and frequency of commuting to and from school questionnaire' are: ''How do you usually go to school?'' and ''How do you usually go from school?''. The validation between parents and childreń s questions was analysed using Kappa and Spearman correlation coefficients. The results of the kappa are considered as: poor agreement (0-0.20), acceptable agreement (0.21-0.40), moderate agreement (0.41-0.60), substantial agreement / good (0.61-0.80) and almost perfect / very good agreement (0.81-1.00) (Landis & Koch, 1977). The Spearman correlations coefficients were interpreted as low (> 0.30), moderate (0.30-0.50), and high (> 0.50) (Van Dyck, Cardon, Deforche, & De Bourdeaudhuij, 2015).

Results
The validity of questions from both questionnaires about mode of commuting presented high coefficients of validation (Kappa coefficient; 0.865 to school and 0.839 from school and Spearman correlation; rho=0.882 to school and rho=0.860 from school).

Conclusion
The questions about the mode of commuting to/from school from the 'Family PACO questionnaire' are valid method.
Issue/problem Implementation of national systems for patients' physical activity (PA) assessment and counselling is a cost-effective strategy recommended in the WHO Global Action Plan for PA 2018-2030. Although Primary Health Care (PHC) professionals are recognized as key agents for PA promotion, challenges remain on how to develop feasible and scalable tools to support them in promoting patients' PA. The Portuguese model could help other countries improve PA assessment and brief counselling in PHC settings. This study aims to describe the tools' development and usage. Description of the problem The Portuguese Directorate-General of Health developed two evidence-based digital tools to support PA promotion by healthcare professionals: a) PA brief assessment tool; and b) brief counselling tool. The assessment tool was incorporated within the electronic medical health record software ?SClínico? in September 2017. It includes three questions: 1) how many days per week the patient performs any kind of PA (work, commuting or leisure-time); 2) how much time per day; and 3) how many hours per day the patient spends in sedentary behaviours. The PA brief counselling tool is available through the electronic medical prescription software ?PEM? since December 2017 and consists of five inter-related selfexplanatory guides that can be delivered to patients (printed or by email), according to their motivation and PA levels. They facilitate person-centered and autonomy-supportive PA counselling, targeting specific behaviour change mediators, and using validated techniques.

Results
From September 2017 to December 2021, 159,179 patients had their PA assessed (2235 per 100,000 users of the National Background Physical activity is associated with improved psychological well-being and lower levels of cardio metabolic risk factors, diabetes, obesity among children and adolescent. The purpose of the study was 1-to examine gender, type of day, and age grade differences in objectively PA; 2-to examine the attainment of recommended physical activity guidelines; 3-to examine the association between PA levels and BMI z-score among children and adolescents in Morocco. Method 172 Moroccan children/adolescents (mean age = 10.92 AE 1.55 years, mean BMI z-score = -0.16 AE 1.33; 19.2 % overweight) were recruited for this study and wore a tri-axial accelerometer (GT3X+) for 7 consecutive days. Two-way analysis of covariance was used to examine gender and age grade differences in physical activity level separately for weekdays and weekends, adjusted for body mass index for age (BMI zscore) and wear time. Logistic regression analyses were conducted to examine independent relationships between Abstract citation ID: ckac094.007 O1-7 MoveHealthy: improving health and sustaining participation of youth in sports through sports injury prevention Background Sport injuries are a major reason for reduced participation and drop-out from sports and physical education. Refraining from sport participation has negative effects on mental and physical well-being, which tracks into adulthood. It is therefore important for youth to be facilitated into lifelong active participation in physical activity and sport. Despite the importance of sports injury prevention in youth, no broad scale approaches that work in real-life situations with significant positive effects exist. Sports coaches (SC) and physical educators (PE) experience current approaches exercises as not context specific, time consuming and not contributing to their training goals. This leads to poor uptake, implementation and maintenance of current sports injury prevention exercises. To overcome current barriers, the Move Healthy project develops ICT based video material of routines for and with PE and SC, which supports them to prevent sports injuries in youth. The purpose of this crucial mapping phase is to identify the wishes and needs of the endusers PE and SC regarding injury prevention. Methods A mapping procedure was conducted to identify the wishes and needs of PE and SC regarding integration of injury prevention in their daily work. For that, focus groups, with PE from primary and secondary education and basketball and soccer coaches from 6 EU countries, were held. Results A total of 31 PE (primary and secondary school) and 37 sport coaches (basketball and soccer) from 6 EU countries were included. The qualitative results from SC state that injury preventive routines should focus on: sport performance, good quality of movement, dynamic combinations of existing exercises and it should be fun and challenging. PE tend to focus more on: motivation aspects, how to overcome barriers and implementation aspects. For both groups, a clear and specific explanation about the why, what and how regarding injury prevention based on principles of motor learning should be included in the approach.

Conclusions
The results from the mapping phase will lead to guidelines,